This pack contains a selection of medicines that may be required for use by individuals who are travelling to remote areas where access to medical facilities may be difficult, delayed or where local health provision may be of a limited nature and available medications of unknown efficacy. The antibiotics contained in this pack are intended to be used following local medical guidance. The following medicines are not suitable for all persons as certain medical conditions and medications will affect/interact with them. Any such interactions will be discussed during your Travel Health Consultation and are listed in the individual Patient Information Leaflets (PILs).

Always read the pack insert and the Patient Information Leaflet before using any of these medicines.
• Clarithromycin 250mg Tablets x 14
• Azithromycin 500mg tablets x 3
• Loperamide 2mg Capsules x 10
• Paracetamol 500mg Tablets x 16
• Ibuprofen 200mg Tablets x 24
• Oral Rehydration Sachets x 6
• Chlorphenamine 4mg Tablets x 28

Clarithromycin 250mg Tablets – Oral Antibiotic
Clarithromycin is a non-penicillin-based antibiotic that can be used to treat diagnosed skin infections and soft tissue infections of mild to moderate severity, such as folliculitis, cellulitis and erysipelas and infections of the upper respiratory tract such as tonsillitis/pharyngitis as well as infection of the middleear.

• Dose: Take one tablet twice a day for 7 days.
  Side Effects: This medicine may cause nausea, vomiting and/or diarrhoea and taste perversion.
• Notes: Swallow tablets whole with sufficient fluid.

Azithromycin Tablets – Oral Antibiotic
This is an antibiotic that is very effective against most causes of Travellers’ Diarrhoea and should greatly
reduce both its severity and duration.

• Dose: Take ONE tablet once a day for 3 days as required with one or two Loperamide capsules (see below).
• Side Effects: Most commonly diarrhoea, abdominal pain, nausea, flatulence
• Notes: Medical help should be sought if there has been no improvement in symptoms after 72 hours, if fever is present or blood/mucus is present in the stools. See also advice on the NaTHNaC website read sections on ‘Food and Water’ http://travelhealthpro.org.uk/factsheet/44/food-and-water-hygiene plus the Nomad ‘Diarrhoea Self Treatment Advice sheet’.

Loperamide Capsules
This is a ‘blocker’ for the management of diarrhoea. It will not treat diarrhoea but will help slow it down.

• Dosage: Take two at tablets together to begin, then one as required to a maximum of 6 in 24 hours.
• Notes: Never exceed the recommended dose and ensure you drink plenty of fluids. Do not use if blood present in stools. Read the Nomad ‘Diarrhoea Self Treatment Advice sheet’ for further direction.

Paracetamol Tablets
Painkiller and antipyretic (reduce temperature).

• Dosage: Take 1-2 tablets every 4-6 hours up to a max of 4 times a day and a daily max of 8 tablets.
• Notes: Do not exceed the stated dose. Be aware that other medicines may also contain Paracetamol.

Ibuprofen Tablets
Painkiller, antipyretic, anti-inflammatory. Effective in muscular, joint pains, back and period pain.

• Dose: Take 1 or 2 tablets every 6 to 8 hours up to a maximum of 3 times a day.
• Notes: This medication may cause gastric irritation. Always take after food. Not suitable for people with a history of peptic ulceration. Not for use by asthmatics unless known tolerance of the product.

Rehydration Sachets

Restores natural salt and fluid balance in cases of diarrhoea and dehydration.

• Dose: Make up one sachet with 200ml of drinking water and drink slowly after each loose stool.

Chlorphenamine Tablets

Antihistamine for allergic reactions due to insect bites, allergy rashes and hay fever.

• Dose: One tablet three times a day as needed. May cause drowsiness.